How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,445 to $7,586Professionalmedian $2,951 · 10th to 90th $2,042 to $7,762
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,570.40 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $6,456.54 Typical High $17,378.01 | Facility | None | $5,754.40 | $6,456.54 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,691.53 Typical High $5,888.44 | Professional | None | $1,819.70 | $2,691.53 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Denver HMP Setting Facility Modifier None Typical Low $1,445.44 Median $2,951.21 Typical High $6,606.93 | Facility | None | $1,445.44 | $2,951.21 | $6,606.93 |
Denver HMP Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,265.80 Median $7,943.28 Typical High $11,481.54 | Professional | None | $4,265.80 | $7,943.28 | $11,481.54 |
Select Health Setting Facility Modifier None Typical Low $6,025.60 Median $11,220.18 Typical High $12,589.25 | Facility | None | $6,025.60 | $11,220.18 | $12,589.25 |
Select Health Setting Professional Modifier None Typical Low $4,168.69 Median $6,025.60 Typical High $7,585.78 | Professional | None | $4,168.69 | $6,025.60 | $7,585.78 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,454.71 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,995.26 | $2,238.72 | $3,388.44 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,288.25 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $512.86 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $389.05 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $257.04 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $2,691.53 Typical High $2,691.53 | Professional | RR · Rental | $269.15 | $2,691.53 | $2,691.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
Where Colorado sits
The same service costs 2.8 times more in Wyoming than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 27th of 51
$2,951
WY $5,754DE $2,042
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.